PCORI Study Interest Form

Thank you for your interest in our work! This national survey will focus on how the COVID-19 pandemic has affected OUD treatment in nurse-led primary care settings. Participants will be entered into a raffle to win one of ten $25 gift cards.

If you'd like to be included in communications and/or participate in the survey, please fill out the form below.

1. Please provide your contact information below so we can reach out to you with more information about the survey.

First Name *This question is required.

Last Name *This question is required.

State

Email Address *This question is required. This question requires a valid email address.

Phone Number

2. How did you find out about this work?

NNCC-sponsored webinar
Colleague or professional network
NNCC listserv
Other Please enter an 'other' value for this selection. * This question is required.